Minor Operations...
We perform: -
 | Injections for a wide range of musculoskeletal conditions. |
| Aspirations for certain cysts. |
| Cryo-cautery (freezing) for suitable skin lesions. |
| Incisions for drainage of abscesses, haematomas and some cysts. |
| Excisions for certain skin and subcutaneous conditions ("lumps & bumps") |
Patient information leaflets:
| Minor Surgery |
| Cryotherapy |
Please note: New!
Due to QIPP (Quality, Innovation, Productivity & Prevention) savings, the Derbyshire County PCT have restricted procedures and we are no longer funded for cosmetic procedures, in line with the East Midlands Adult Cosmetic Procedures Policy.
This applies to both cryotherapy (freezing) and minor operations.
A list (not exhaustive) of those conditions is given below.
|
Cryotherapy
|
|
| Blocked | Allowed |
| Warts & veruccae | Basal Cell Carcinomas |
| Seborrhoeic keratoses | Bowen's disease |
| Actinic keratoses | Pyogenic granulomata |
| Dermatofibromas | Genital warts |
| Skin tags | |
| Spider naevi & capillary haemangiomas | |
| Myxoid cysts | |
| Minor Operations
|
|
| Blocked | Allowed |
| Moles | Dysplastic moles |
| Lipomas | Lipomas >5cm diameter |
| Fibromas | Basal Cell Carcinomas |
| Chalazia | Incision & drainage: Abscesses |
| Skin tags (large) | Incision & drainage: Haematomas |
| In-growing toenails (mild - moderate) | In-growing toenails (moderate - severe) |
| Sebaceous cysts | Sebaceous cysts on face >1cm |
| Other conditions (as above under cryotherapy) | Incision/excision/punch biopsies |
There is dispensation to proceed with "blocked" operations if there is "significant pain, recurrent infection, recurrent bleeding, rapid growth or other features suspicious of dysplasia/ malignancy".
Referrals:
This leaves many patients with skin or subcutaneous lesions which they may wish to be removed, but which will now need to be performed as a private procedure.
We are happy to refer patients privately to other GPs in Dronfield who are able to provide this service, or to private clinics, but we are not allowed (for reasons relating to conflict of interest) to refer our own patients to ourselves.
Private procedures @ GVMC:
We are able to accept patients referred by their GP with an accompanying referral letter from other practices on a private basis.
Referral is no guarantee of a particular procedure being performed, as each case will be assessed by the doctor. Some cases may be technically more suitable for an alternative procedure or be deemed more suitable for operation in a private hospital setting for safety reasons.
For procedures performed @ GVMC, patients will be consented by the performing doctor.
Patients will receive a Patient Information Leaflet regarding aftercare and the referring GP, a copy of the procedure notes.
Charges:
|
Cryotherapy per 10' session: £30.00 |
|
Minor operation per 30' session: £120 Plus histology costs below for minor operations: - |
Charge level 1: £40: Minimal complexity/ no or few
additional procedures.
Skin shaves and curettings
Endometrial pipelle
Lipoma
Charge level 2: £50: Levels/ several blocks/ limited additional
procedures.
Skin excisions
Cervical punch biopsies
Inflammatory skin punch biopsies
Limited larger specimens for benign disease
Charge level 3: £100: Large specimen resections/ multiple ancillary
investigations.
Lymph nodes and lymph node biopsies
Note: Specimen types not included on this list would be categorised
according to complexity.
N.B.#1 Payment by cash or cheque on the day.
N.B.#2 We are unable to accept credit/debit cards.
N.B.#3 Receipt available on request.
***LATEST*NEWS***
Flu Vaccinations
Details of this years flu clinic on Thursday 13th Oct can be found on the Practice News page
Text & Voice message service
We are currently using this service for appointment reminders (text only) and invites to flu vaccination clinics and annual reviews. See Practice News page for more information
Patient Participation Group
The next Dronfield-wide PPG meeting is 27/09/11.
See: PPG page for more details.
Dr. Bull availability
Dr. Bull has been selected to serve on both the Board & Clinical Reference Group of the newly formed North Derbyshire Clinical Commissioning Group (NDCCG).
Because of these duties, he will be less available in practice for consultations by 1/2 to 1 day per week. We trust you will be understanding of this development.
We have a great team of other doctors, however!
Walk In Centres/A&E
Do you know how much these services cost the practice?
See: Commissioning
Minor Surgery
PCT cuts and what they me for us/you!
We now have private histology costs agreed with Chesterfield Royal Hospital.
See: Minor Operations
Patient satisfaction survey
View our results here